quansar
Forum Newbie
Topics: 6
Posts: 26
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What is the first step of management for a pt presents with s/s of normal pressure hydrocephalus??? there are conflicts bw UW, kaplan and Fischr..
1) Brain CT
2) Lumbar puncture
3) or Physicals?
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| cirus
Forum Guru
Topics: 108
Posts: 740
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1st physical to check for neuro defecits..ESP EYE EXAM FOR PAPILLEDEMA
2nd CT if papilledema is +Ve (if papilledema is +ve from start--> CT is next) or lumbar punct if negative..
hope that helps
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| Drtweetie
Forum Elite
Topics: 17
Posts: 301
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If NPH is suspicious i.e pt presenting w/ urinary incontinence, gait problem, and dementia, proceed to CT/MRI for definitive diagnosis. Lumbar puncture could be used for diagnosis if CT/MRI negative but high suspicion for NPH
___________________
"Our greatest glory is not in never falling but in rising every time we fall." --Confucius
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| doyoudig
Forum Guru
Topics: 144
Posts: 613
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agree w/ both of them
P/E is always 1st, as we do it easily, cheap in any setting
Then as aid before Pt presenting w sign of ICP - CT/MRI prefferd over LP, if not then go to LP after P/E is done
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